Just tell the derm u want accutane. I told my derm and two minutes later he ahd me fill out papers and had his nurse draw my blood. I only had very mild acne at the time (currently acne free after three nmoths accutane.
Not all derms are like that. It's supposed to be used for cystic acne or persistant acne that is non-responsive to other treatments, so if you're not cysic they make you jump through all the hoops of trying everything else, so they can say you're in the "non-responsive" category.
It really just depends on the derm.



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